Fatigue is a common primary care symptom. It has become standard practice to ascribe debilitating fatigue to Lyme disease, even after recommended treatment and a presumed cure of any underlying Borrelia...
<p>The residents and I recently evaluated a patient with midsubstance Achilles tendinopathy. I have a sensitive spot for sufferers of Achilles discomfort since I ruptured mine 20 years ago (ouch!). A...
<p>Would it be silly to ask, “Is the history and physical examination worth performing anymore?” especially in this era of high-technology medicine? Does it matter if the diagnosis is made by the...
Television ads promote a quick pharmaceutical "fix" for erectile dysfunction (ED). The afferent limb is greater recognition of the problem by health care providers and the lay public. The efferent...
Let me be upfront: I avoid both clonidine and hydralazine when treating hypertension. In the case of hydralazine, I qualify that decision by explicitly stating that it has been an evidence-based therapy for...
Tuberculosis (TB) is uncommon in the United States, especially when rates here are compared with those in endemic locations, such as Cambodia, Thailand, Kenya, Malawi, and Cameroon.1 In fact, in the United...
<p>Ischemic infarcts of the brain are usually caused by vascular disease, but 1 in 5 results from emboli that arise in the heart. The largest contributor to cardioembolic stroke is non-valvular atrial...
